UnityPoint Health - Grinnell Regional Medical Center
210 Fourth Ave, Grinnell, IA · UnityPoint Health · · NPI 1669420501
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Rubeola antibody igg CPT 86765 | $48.57 | $60.71 | $7.73 – $24.47 | 11 |
| Runx1 gene targeted seq alys CPT 81334 | $659.20 | $824.00 | $197.71 – $461.35 | 9 |
| Russell viper venom diluted CPT 85613 | $32.85 | $41.06 | $5.75 – $16.55 | 11 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $1,834.40 | $2,293.00 | $347.76 – $962.93 | 11 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $125.56 – $341.26 | 9 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $34.93 – $44.30 | 9 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $208.20 | $260.24 | $9.95 – $105.81 | 13 |
| Safety plan interven HCPCS G0560 | not published | not published | $40.13 – $63.60 | 7 |
| Salivary gland function exam CPT 78232 | $228.00 | $285.00 | $17.71 – $399.81 | 11 |
| Salivary gland imaging CPT 78230 | $378.40 | $473.00 | $19.58 – $399.81 | 11 |
| Salivary glnd img serial img CPT 78231 | $282.40 | $353.00 | $19.63 – $399.81 | 11 |
| Salmonella antibody CPT 86768 | $48.57 | $60.71 | $7.91 – $24.47 | 11 |
| Salpingostomy 58770 CPT 58770 | $4,304.00 | $5,380.00 | $770.46 – $3,163.52 | 11 |
| Same day nb discharge 99463 CPT 99463 | $199.20 | $249.00 | $98.43 – $209.56 | 11 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $3.12 – $5.62 | 6 |
| Sargramostim injection HCPCS J2820 | not published | not published | $44.19 – $77.11 | 9 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $22.98 – $54.00 | 9 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $0.01 – $192.66 | 9 |
| Sarscov coronavirus ag ia CPT 87426 | $71.20 | $89.00 | $15.24 – $37.10 | 11 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $168.80 | $211.00 | $26.65 – $73.80 | 11 |
| S bowel endoscope w/stent CPT 44379 | $1,034.40 | $1,293.00 | $364.19 – $5,922.83 | 11 |
| Sbrt management CPT 77435 | $1,189.60 | $1,487.00 | $594.53 – $1,244.10 | 9 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $3,570.50 – $3,675.52 | 6 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $248.00 | $310.00 | $120.85 – $263.30 | 9 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $281.60 | $352.00 | $140.48 – $298.01 | 9 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $136.80 | $171.00 | $68.04 – $144.33 | 9 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $197.60 | $247.00 | $98.58 – $208.93 | 9 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $79.20 | $99.00 | $36.52 – $77.95 | 9 |
| Sbsq psyc collab care mgmt CPT 99493 | $251.20 | $314.00 | $88.06 – $199.35 | 11 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $826.04 | $1,032.55 | $34.15 – $416.12 | 13 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $259.20 | $324.00 | $21.05 – $105.81 | 11 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $284.80 | $356.00 | $21.05 – $105.81 | 11 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $673.39 | $841.73 | $19.13 – $339.22 | 13 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $366.42 | $458.02 | $20.60 – $184.58 | 13 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $427.04 | $533.80 | $20.90 – $215.12 | 13 |
| Scan proc cranial extra CPT 61782 | $434.40 | $543.00 | $154.40 – $411.81 | 9 |
| Scan proc cranial intra 61781 CPT 61781 | $552.80 | $691.00 | $197.96 – $528.28 | 9 |
| Scan proc spinal CPT 61783 | $552.80 | $691.00 | $196.63 – $523.91 | 9 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $2,673.59 – $7,354.63 | 9 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,860.00 | $3,575.00 | $107.03 – $1,612.08 | 11 |
| Scope plantar fasciotomy CPT 29893 | $3,185.60 | $3,982.00 | $406.88 – $3,228.27 | 11 |
| Scr c/v cyto, automated sys HCPCS G0147 | $36.80 | $46.00 | $9.07 – $46.18 | 9 |
| Scr c/v cyto,autosys and md HCPCS G0141 | $55.20 | $69.00 | $21.98 – $57.51 | 9 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | $64.00 | $80.00 | $19.16 – $83.04 | 9 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | $88.00 | $110.00 | $26.38 – $114.32 | 9 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $55.00 | $68.75 | $15.89 – $42.90 | 11 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $54.40 | $68.00 | $16.23 – $70.33 | 9 |
| Screen cerv/vag thin layer HCPCS G0123 | $55.00 | $68.75 | $12.16 – $42.90 | 11 |
| Screen c/v thin layer by md HCPCS G0124 | $55.20 | $69.00 | $21.98 – $57.51 | 9 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $813.60 | $1,017.00 | $82.56 – $907.12 | 11 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $813.60 | $1,017.00 | $82.41 – $907.12 | 11 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $64.28 | $80.35 | $10.83 – $46.93 | 11 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $110.00 | $137.50 | $16.96 – $73.50 | 11 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $110.00 | $137.50 | $27.81 – $85.80 | 11 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $48.80 | $61.00 | $14.45 – $62.61 | 9 |
| Screening Mammogram CPT 77067 | $423.43 | $529.28 | $33.44 – $213.30 | 11 |
| Screening pap smear by phys HCPCS P3001 | $55.20 | $69.00 | $21.98 – $57.51 | 9 |
| Screening prostate cancer PSA HCPCS G0103 | $64.28 | $80.35 | $11.59 – $50.14 | 11 |
| Screen pap by tech w md supv HCPCS P3000 | $36.80 | $46.00 | $9.07 – $46.18 | 9 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $6.40 | $8.00 | $5.29 – $7.38 | 6 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $1,704.90 | $2,131.12 | $673.43 – $2,045.88 | 6 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $510.78 | $638.47 | $27.94 – $257.30 | 13 |
| Sc ther infusion reset pump CPT 96371 | $158.40 | $198.00 | $50.65 – $157.76 | 11 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $2,005.60 | $2,507.00 | $731.93 – $1,945.66 | 9 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $3,206.40 | $4,008.00 | $210.25 – $559.65 | 9 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $120.80 | $151.00 | $4.86 – $12.79 | 9 |
| Sedimentation rate erythrocyte automated CPT 85652 | $33.57 | $41.96 | $1.62 – $16.91 | 11 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,374.44 – $2,420.54 | 3 |
| Segmentectomy 32484 CPT 32484 | $3,491.20 | $4,364.00 | $1,237.61 – $3,301.37 | 9 |
| Select picture audiometry CPT 92583 | $105.60 | $132.00 | $52.42 – $132.52 | 11 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.55 – $1.39 | 9 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $110.34 | $137.92 | $30.36 – $55.58 | 11 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $8.04 – $17.09 | 9 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $12.55 – $26.69 | 9 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $28.00 | $35.00 | $10.06 – $26.15 | 8 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $20.00 | $25.00 | $14.70 – $25.27 | 6 |
| Semen analysis HCPCS G0027 | $13.60 | $17.00 | $6.50 – $16.90 | 9 |
| Semen analysis presence/motility CPT 89321 | $56.44 | $70.54 | $7.23 – $28.43 | 11 |
| Semen analysis w/count CPT 89310 | $56.44 | $70.54 | $8.61 – $28.43 | 11 |
| Sensorimotor examination CPT 92060 | $132.00 | $165.00 | $24.07 – $63.34 | 11 |
| Sensorineural acuity lvl tst CPT 92575 | $137.60 | $172.00 | $37.37 – $171.78 | 11 |
| Separate eyelid adhesions CPT 68340 | $2,857.60 | $3,572.00 | $355.68 – $2,321.21 | 11 |
| Sept9 promoter methylation analysis CPT 81327 | $384.00 | $480.00 | $115.20 – $268.82 | 9 |
| Sequestrectomy olecrn proces CPT 24138 | $3,342.40 | $4,178.00 | $625.23 – $7,107.76 | 11 |
| Sequestrectomy radial h/n CPT 24136 | $3,104.00 | $3,880.00 | $574.15 – $3,228.27 | 11 |
| Sequestrectomy shft/dstl hum CPT 24134 | $3,673.60 | $4,592.00 | $676.00 – $7,107.76 | 11 |
| Serial casting application 97139app CPT 97139 | not published | not published | $20.46 – $28.46 | 2 |
| Serial tonometry CPT 92100 | $169.60 | $212.00 | $29.48 – $77.58 | 9 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1.80 – $3.12 | 4 |
| Serpina1 gene CPT 81332 | $127.86 | $159.82 | $26.19 – $64.41 | 11 |
| Sertraline (zoloft) - sendout CPT 80332 | $126.43 | $158.03 | $13.16 – $151.71 | 8 |
| Set radiation therapy field CPT 77280 | $548.00 | $685.00 | $34.90 – $132.10 | 11 |
| Set radiation therapy field CPT 77285 | $795.20 | $994.00 | $52.57 – $364.23 | 11 |
| Set radiation therapy field CPT 77290 | $918.40 | $1,148.00 | $76.75 – $364.23 | 11 |
| Set-up cardiovert-defibrill CPT 93745 | $218.40 | $273.00 | $37.96 – $298.40 | 10 |
| Set up port xray equipment HCPCS Q0092 | $49.60 | $62.00 | $23.48 – $60.24 | 9 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.01 | 2 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.05 – $0.05 | 2 |
| Sever cranial nerve CPT 64771 | $1,500.80 | $1,876.00 | $548.04 – $1,942.94 | 11 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $914.59 – $2,327.39 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.